Canagliflozin Promotes Structural and Functional Changes in Proximal Tubular Cell Mitochondria of

Mayra Trentin-Sonoda1,2, Yan Burelle2, Alex Gutsol2

  • 1Kidney Research Centre, Division of Nephrology, Department of Medicine, Ottawa Hospital Research Institute, Ottawa, ON K1Y 4E9, Canada.

Insights

Canagliflozin (CANA) improves kidney mitochondria function and structure in male hypertensive-diabetic mice. This suggests that enhancing mitochondrial health may be crucial for CANA

Area of Science:

  • Nephrology
  • Mitochondrial Biology
  • Diabetology

Background:

  • Kidneys require significant energy via mitochondrial oxidative phosphorylation.
  • Excess glucose impairs fatty acid oxidation, contributing to kidney injury and diabetic kidney disease.
  • Canagliflozin (CANA) offers kidney protection beyond glucose lowering.

Purpose of the Study:

  • To investigate if canagliflozin (CANA) improves mitochondrial function and structure in proximal tubular cells (PTECs) of hypertensive-diabetic mice.
  • To assess the impact of CANA on kidney mitochondria in a mouse model of type 1 diabetes and hypertension.

Main Methods:

  • Hypertensive mice (Lin) were induced with type 1 diabetes using streptozotocin (STZ).
  • Diabetic hypertensive mice (LinSTZ) were treated with canagliflozin (CANA) or a control diet for one week.
  • Mitochondrial structure and bioenergetics in PTECs were analyzed.

Main Results:

  • CANA treatment reversed albuminuria in LinSTZ mice.
  • In male PTECs, CANA promoted a more complex, fused mitochondrial network and enhanced bioenergetics (respiration, ATP production, membrane potential).
  • In female PTECs, CANA increased mitochondrial network complexity but did not significantly alter bioenergetics.

Conclusions:

  • In vivo canagliflozin treatment positively impacts proximal tubular cell mitochondria in male hypertensive-diabetic mice.
  • Improvements in mitochondrial function and structure may underlie the kidney-protective effects of canagliflozin.
  • The effects of canagliflozin on kidney mitochondria appear to be sex-specific.